| LCA CASE NUMBER | I-200-21238-546883 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-26 |
| DECISION DATE | 2021-09-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatrician |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-11-22 |
| END DATE | 2024-11-21 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Southwestern Surgical Affiliates, LLC |
| TRADE NAME DBA | Southwestern Medical Affiliates |
| EMPLOYER ADDRESS1 | 5602 SW Lee Boulevard |
| EMPLOYER CITY | Lawton |
| EMPLOYER STATE | OK |
| EMPLOYER POSTAL CODE | 73505 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15805314700 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Parker |
| EMPLOYER POC FIRST NAME | Patricia |
| EMPLOYER POC JOB TITLE | Director of Physician Services & Respiratory Therapy |
| EMPLOYER POC ADDRESS1 | 5602 SW Lee Boulevard |
| EMPLOYER POC CITY | Lawton |
| EMPLOYER POC STATE | OK |
| EMPLOYER POC POSTAL CODE | 73505 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15805316408 |
| EMPLOYER POC EMAIL | patricia.parker@swmconline.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Duong |
| AGENT ATTORNEY FIRST NAME | Hon-Vinh |
| AGENT ATTORNEY MIDDLE NAME | Quang |
| AGENT ATTORNEY ADDRESS1 | 511 Union Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2700 |
| AGENT ATTORNEY CITY | Nashville |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 37219 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16158508936 |
| AGENT ATTORNEY EMAIL ADDRESS | vinh.duong@wallerlaw.com |
| LAWFIRM NAME BUSINESS NAME | Waller Lansden Dortch & Davis, LLP |
|
| STATE OF HIGHEST COURT | TN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 5606 SW Lee Boulevard |
| WORKSITE ADDRESS2 | Suite 305 |
| LCA CASE WORKLOC1 CITY | Lawton |
| WORKSITE COUNTY | COMANCHE |
| LCA CASE WORKLOC1 STATE | OK |
| WORKSITE POSTAL CODE | 73505 |
| LCA CASE WAGE RATE FROM | 82430 |
| LCA CASE WAGE RATE TO | 300000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 82430 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Kang/15244 |
| PREPARER FIRST NAME | Paul |
| PREPARER BUSINESS NAME | Waller Lansden Dortch & Davis, LLP |
| PREPARER EMAIL | paul.kang@wallerlaw.com |
